Individual
MATTHEW JAMES SUSANKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
77 CADILLAC DR, 230, SACRAMENTO, CA 95825-5480
(916) 920-2082
(916) 920-2082
Mailing address
77 CADILLAC DR, STE 230, SACRAMENTO, CA 95825-5480
(916) 920-2082
(916) 920-1430
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G77856
CA
Other
Enumeration date
08/17/2006
Last updated
07/14/2016
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